Individual
DR. GREGORY F BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2021 E COMMERCIAL BLVD, SUITE 202, FORT LAUDERDALE, FL 33308-3763
(954) 202-7850
(954) 202-7781
Mailing address
2021 E COMMERCIAL BLVD, SUITE 202, FORT LAUDERDALE, FL 33308-3763
(954) 202-7850
(954) 202-7781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME57540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063774200
—
FL
Enumeration date
08/31/2006
Last updated
07/09/2007
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